Jones Steven H, Burrell-Hodgson Gerrard
Lancaster University, Lancaster, UK.
Clin Psychol Psychother. 2008 Nov-Dec;15(6):367-77. doi: 10.1002/cpp.584.
Cognitive-behavioural therapy can lead to significant improvements in relapse and inter-episode functioning for individuals with an established course of bipolar disorder. Both psychiatric and psychological models of bipolar disorder suggest that there may be additional benefits in offering this approach earlier in the illness course. This paper reports on the application of a modified cognitive-behavioural approach for individuals after first diagnosis of bipolar disorder using a single case approach across seven participants. Evidence is reported for improvements in mood symptoms and hopelessness following treatment, as well as increased self-control behaviours, more stable activity patterns and increased ability to detect and coping with early warning signs. Implications of these initial findings for future research are discussed.
认知行为疗法可以显著改善双相情感障碍确诊患者的复发情况和发作间期的功能。双相情感障碍的精神病学和心理学模型均表明，在病程早期采用这种方法可能会带来更多益处。本文报告了一项针对首次诊断为双相情感障碍的患者采用改良认知行为疗法的单病例研究，涉及七名参与者。报告了治疗后情绪症状和绝望感改善的证据，以及自我控制行为增加、活动模式更稳定、发现和应对早期预警信号的能力增强。讨论了这些初步发现对未来研究的启示。
